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Organization

AESTHETIC CENTER FOR PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIO A SOARES M.D. (DIRECTOR)
(805) 967-1359
Entity
Organization

Contact information

Practice address
5333 HOLLISTER AVE, SUITE 105, SANTA BARBARA, CA 93111-2341
(805) 967-1359
(805) 683-3319
Mailing address
5333 HOLLISTER AVE, SUITE 105, SANTA BARBARA, CA 93111-2341
(805) 967-1359
(805) 683-3319

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A32832
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZH401Z
BLUE SHIELD
CA
Enumeration date
02/09/2007
Last updated
06/16/2008
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